Nokea
When teaching umbilical cord care to a new parent, the nurse would include which information?
- A. Apply peroxide to the cord with each diaper change.
- B. Cover the cord with petroleum jelly after bathing.
- C. Keep the cord dry and open to air.
- D. Wash the cord with soap and water each day during a tub bath.
Correct Answer: C
Rationale: Keeping the cord dry and exposed to air promotes healing.
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The nurse must administer erythromycin ophthalmic ointment to a newborn after birth. The nurse should:
- A. instill within 15 minutes of birth for maximum effectiveness
- B. cleanse eyes from inner to outer canthus before administration
- C. apply directly over the cornea.
- D. flush eyes 10 minutes after instillation to reduce irritation
Correct Answer: B
Rationale: Cleansing the eyes from inner to outer canthus ensures that any debris or contaminants are removed before administration, which helps prevent infection and ensures the medication's effectiveness.
The nurse is assigned to the postpartum room of a 12-hour-old neonate, and the EHR has a task reminder prompting the nurse to complete a Brazelton assessment on the newborn. Why is this not appropriate?
- A. This newborn has been born to a person who is placing the infant up for adoption.
- B. This newborn has been born to a person who birthed by cesarean section.
- C. This newborn is only 12 hours old.
- D. This newborn is experiencing pathologic jaundice.
Correct Answer: C
Rationale: The correct answer is C because performing a Brazelton assessment on a newborn who is only 12 hours old is not appropriate. The Brazelton assessment is typically done within the first 24-36 hours of life. Performing it too early may yield inaccurate results as the newborn is still transitioning and adapting to life outside the womb.
Choice A is not relevant to the appropriateness of the assessment timing. Choice B also does not impact the timing of the assessment. Choice D is also irrelevant to the timing of the assessment and would not affect the decision to delay performing the Brazelton assessment.
Transient dermatologic conditions are common in newborns. What is the term for temporary, tiny white bumps or cysts on the newborn’s skin, usually on the face around the cheek, nose, or chin area?
- A. newborn acne
- B. milia
- C. pustular melanosis
- D. erythema toxicum
Correct Answer: B
Rationale: Milia are small, harmless white bumps caused by blocked oil glands.
A premature infant has been admitted to the NICU for both respiratory and nutritional support. When should the nurse begin discharge teaching to the family?
- A. after the infant has met goals of a mature breathing pattern and their percentile on the growth chart
- B. as the infant is extubated and transitioned to nasal cannula
- C. when the family shows interest in caring for their neonate independently
- D. as early as possible and throughout the admission
Correct Answer: D
Rationale: Early and continuous discharge teaching ensures family readiness.
Which statement is most accurate regarding delivery of a newborn?
- A. Infants delivered via cesarean section are at lower risk of transitional problems.
- B. Vaginal deliveries increase the risk of infants aspirating lung fluid.
- C. Cesarean deliveries do not allow for thoracic squeeze of fluid.
- D. Vaginal deliveries are often avoided in term infants.
Correct Answer: C
Rationale: The correct answer is C. Cesarean deliveries do not allow for thoracic squeeze of fluid. During vaginal delivery, the infant's thorax undergoes a squeezing motion which helps to expel the amniotic fluid from the lungs, reducing the risk of respiratory issues. In contrast, infants delivered via cesarean section do not experience this thoracic squeeze, potentially leading to a higher risk of respiratory problems.
A is incorrect because infants delivered via cesarean section may actually have higher risks of transitional problems due to the lack of thoracic squeeze. B is incorrect as vaginal deliveries facilitate the natural process of clearing lung fluid. D is incorrect as vaginal deliveries are the preferred method for term infants when possible, as they provide various benefits for both the mother and the baby.